Indraprastha Apollo Hospitals Delhi, India

Indraprastha Apollo Hospitals, New Delhi is a multi-specialty tertiary acute care hospital with 710 beds and one of the most sought after destinations in Asia for healthcare. A state-of-the art modern facility in the heart of the capital, it is spread over 15 acres and has a built-up area of over 600,000 square feet.

Indraprastha Apollo Hospitals has 52 specialties under one roof with the major specialities being anaesthesia, cardiology, cardiac surgery, cancer, paediatrics, critical care, emergency care, fetal medicine, gastroenterology and hepatology, obstetrics & gynaecology, interventional radiology, IVF, liver and kidney transplant, nuclear medicine, nephrology, neurosciences, ophthalmology, orthopaedics, otolaryngology (ENT), paediatrics, pediatric surgery, psychiatry and clinical psychology, plastic & reconstructive surgery, respiratory & sleep medicine, rheumatology, spine surgery, urology and andrology and vascular and endovascular surgery

Indraprastha Apollo Hospitals, New Delhi is a flagship hospital of the Apollo Hospitals Group that epitomises the clinical excellence that the Apollo Group stands for. Clinical excellence aims at the best clinical outcomes for patients. Achieving the best clinical outcomes for the most complex diseases requires the best staff supported by latest technology and standardized processes..

We engage the best consultants through a rigorous credentialing and privileging process who are supported by the best healthcare staff. Regular training programs, conferences and continuing medical education programs are undertaken to keep the staff abreast with the latest developments in their fields.

It has the latest and Best-in-Class medical technologies like PET- MR, PET-CT, Da Vinci Robotic Surgery System, BrainLab Navigation System, Portable CT Scanner, NovalisTx, Tilting MRI, Cobalt based HDR Brachytherapy, DSA Lab, Hyperbaric Chamber, Fibroscan, Endosonography, 3 Tesla MRI, 128 Slice CT scanner to provide world-class care

That Indraprastha Apollo Hospitals became the first hospital in India to be JCI accredited in 2005 stands testimony to our standardized processes. We also became the first hospital to be reaccredited in 2008 and 2011. It has NABL accredited clinical laboratories and a state of the art blood bank.

Few of the Salient features are:

• 52 Specialties under one roof
• First Hospital in India to perform a Paediatric Liver Transplant in 1998 and one of the busiest Liver Kidney transplant program in the country,
• Maximum number of ICU Beds in a Private Hospital in India
• NABL accredited clinical laboratories,
• Experienced and renowned doctors in Cardiac sciences (Cardiology & Cardio-thoracic Surgery) and Neurological sciences (Neurology & Neuro-surgery),
• Largest Sleep Lab in Asia
• One of the largest Dialysis Units in India
• Apollo Cancer Institute is a Comprehensive Cancer care centre with management of cancers as a multi-speciality concerted approach including the most advanced Radiation Oncology Centre with NovalisTx, ClinaciX and HDR-Brachytherapy
• 6 bed dedicated Bone Marrow Transplant Unit with stringent infection control practices
• Latest and Best-in-Class Medical technologies like PET-MR, PET-CT, Da Vinci Robotic Surgery System, BrainLab Navigation System, Portable CT Scanner, NovalisTx, Tilting MRI, Cobalt based HDR Brachytherapy, DSA Lab, Hyperbaric Chamber, Fibroscan, Endosonography, 3 Tesla MRI, 128 Slice CT scanner and many more are used to provide world-class care
In 2014, the hospital got JCI re-accredited consecutively the fourth time making it the first hospital to do so in the Country. 
Without doubt the hospital has been an industry leader in Healthcare Quality and Patient Safety. Currently has the International Patient Safety Goals implemented and has an in-house developed protocol to optimize patient safety known as CAPS scoring. 
The hospital also monitors its outcomes and various clinical parameters through ACE@25 (Apollo Clinical Excellence) to stay abreast and above the World’s Best Medical Institutions.

Urology Department at Indraprastha Apollo Hospitals Delhi, India

The services provided encompass:

·         Physician offices for consultation

·         Diagnostic procedures like Uroflometry, Voiding cystometry, EMG and others.

·         Office procedures like urethral calibration, BCG therapy, lithotripsy, PCN to name a few.

·         All major and minor surgeries including all endoscopic procedures, laser procedures for stones, prostate, laparoscopic surgeries, penile implants for erectile dysfunction.A short overview is provided below.

Comprehensive care for the urinary stone diseases - Stone disease is a very common problem all over the world. Stones can either be managed by lithotripsy and or may need various endourological procedures to remove the stones without open surgery.

Lithotripsy - A method of treating kidney and ureteric stones without surgery, using the latest Dornier lithotriptor-Delta model. One of the best machines available for the purpose. Both x-ray & Ultrasound controls are available on this machine. The positioning, focussing and delivery of shock waves are all controlled by advanced computerized system with safety cut-offs to prevent damage by human error. Patients does not need any hospital stay and can go home same day.

Percutaneous renal surgery (PCM) - Here 1 cm hole is made in kidney to remove stones after breaking it into smaller pieces. There is a minimal pain and discomfort and patients can go home in 48 hours. Even bigger stones and stag horn stones can be safely managed with this modality. Some of the patients may also need help of lithotripsy to get complete stone removal.

Intra-renal stone surgery by flexible scopes and laser lithotripsy - Here flexible scopes are passed through the urethra (from where one passes urine) and stones are removed after breaking into smaller pieces by laser. Here again patients can be discharged within 24 to 48 hours.

Endourology - All aspects of Endourology (surgery through a telescope, which does not require open procedures) including treatment of prostate (TURP), bladder cancers (TURBT), urethral strictures, kidney and ureteric stones (PCNL & URS) are available. Intracorporeal Lithotripsy (breaking of stones using endoscopes) using the pneumatic lithotripsy is also available.

Minimally Invasive surgery (Keyhole or laparoscopic surgery) - Most of the urological surgery can be performed by keyhole surgery. Most of kidney surgery whether it is for benign disease or for cancer can be safely performed laparoscopically. In the same way many other urological cancer surgery like prostate cancer or ureteric cancer can also be done without cutting the abdomen. Apollo hospital offers all kinds of laparoscopic surgery for urological disease. Major advantage is less pain, small scar or no scar, early discharge and early return to work.

Laparoscopic Donor nephrectomy - Now donor can donate one of the kidney to their loved on without much pain and discomfort. Even kidney retrieval incision is not seen and donor can go home in two to three days.

Laser for prostatic surgery - Men after the age of 50 years suffer from urinary problems like going to toilet frequently, poor control of urine or difficulty of passing urine etc. It is because of enlargement of the prostate, which can be removed safely by endoscopic method. Apollo hospital now has facility to remove these glands by laser surgery.

Urodynamics - The most advanced fully computerised urodynamic machines at Apollo, which will diagnose all kinds of incontinence and difficulty in passing urine so as to enable the right treatment. These machines also include 'EMG' facilities that are a must for diagnosing urinary and bowel problems secondary to spinal injuries stroke, parkinsonism and other neurological disorders. This laboratory has well designed facilities for the entire range of studies including uroflownmetry, filling and voiding cystometry, urethral pressure profile studies (UPP) and VCUG (in addition to EMG and cavernosometry).

Impotence - A problem of over 10% of adult population can be fully investigated and treated. Indraprastha Apollo provides specialized facilities for pharmacotherapy, cavernosometry and cavernosography, in addition to Doppler studies for assessment of blood flow. Penile implant are also implanted for the severe degree of impotence.

Infertility - Apollo offers a complete range of facilities for investigation of male infertility. Female infertility investigation by gynaecologists with special training in infertility is also provided. Treatment is coordinated with the assisted conception unit and an 'IVF' laboratory.

Urological Cancers - The well-trained surgeons and oncologists at Indraprastha Apollo with a backup of all investigation tools including MRI & CT scans and ultrasound including TRUS offer a comprehensive uro-oncology service. Approximately 50% of the cancers can be safely managed by laparoscopically surgery (Keyhole surgery).

Female Urology - Urinary incontinence (urinary leak) and other urinary problems like urgency (going to the toilet frequently) and stress incontinence (leaking of urine with cough and laughing or straining) can be investigated and treated with minimally invasive methods.

Paediatric urology - Children suffer from various urological problems, which needs investigations. Most of the problem again can be managed by endoscopic and laparoscopic methods.

Reconstructive urology - Many reconstructive urological surgeries like pyeloplasty, urethral stricture surgery, hypospedias surgery and other congenital disorder are reconstructed routinely. Some of these reconstructive surgeries are done by keyhole surgery.

Kidney Transplant Surgery Treatment & Services at Indraprastha Apollo Hospitals Delhi, India

Kidney:

Centre for nephrology is dedicated to the understanding of kidney diseases, their development, progression, treatment and prevention. The faculty is at the forefront of research and patient care in the field of kidney diseases.

Pursuit of excellence in patient care through the improvement of the understanding of disease processes and development of new strategies in the treatment of individuals with kidney disease is our primary goal. We offer both inpatient and OPD care to all nephrology patients round the clock.

This includes counselling, management of all kidney disorders, procedures and the support of systems affected by kidney diseases. Services for kidney biopsies, dialysis and kidney transplantation are also available under one roof.

It is a close knit unit which includes highly specialised nephrologists, urologists and transplant surgeons. Kidney transplant operation involves taking out one kidney from the body of a person and transplanting it surgically in the body of another patient whose both kidneys have failed.

The transplanted kidney functions as the patient’s own kidney. Patient with end stage kidney failure has two choices, either lifelong dialysis or kidney transplantation. Transplantation offers better quality of life, better long term rehabilitation and is more cost effective than life long dialysis.

 

Critical Care Nephrology:

The centre for nephrology is a major participant in intensive care by providing care to ICU patients with acute renal failure, volume disturbances or electrolyte ad acid base disorder.

We have several techniques for treatment of acute renal failure such as alow continuous venovenous hemofiltration, hemaabsorption, plasmatherisis etc. depending on patient’s requirement and underlying disease.

Much of the work with ICU patients is related to the remarkably active procedures (IV CONTRAST FOR Angioplasty/ Post CABG) and acute renal failures following polytrauma, multiorgan failure of any origin etc. Department is equipped for all kind of extracorporeal therapies inculding MARS etc.

 

Pediatric Nephro Urology Department:

Pediatric Nephrology offers a full range of out-patient renal services including diagnostic support for prenatal urological malformation and management of renal diseases and hypertension. Other Services Of The Centre Include:

1.     Percutaneous Renal Biopsies

2.     Dialysis and Tranplantation

The pediatric nephrologist also works closely with the pediatric urologist and the department of fetal medicine particularly in fetal diagnosis and medical care of patient with complex urological problems. A full range of pediatric urology services are provided including bladder and kidney reconstruction, genital reconstruction and minimally invasive urology surgery.

 

Dialysis Services:

Indraprastha Apollo Hospitals not only provides conventional hemodialysis but alo CRRT, Hemofiltration, Plasma exchanges/ Plasma Pheresis etc.

The department has the latest computerized bicarbonate hemodialysis machines with volumetric ultrafiltration and adjustable sodium facility to ensure patient safety.

We provide 24x7 dialysis services. We have isolated units for hepatitis B and HIV infected patients

Nephropathology:

This division offers a variety of specialised procedures including renal biopsy pathology (light microscopy) with special staining procedures, and direct immunofluorescence.

This service is provided by a highly specialised tram of Histopathologists.

FNAC is taken care by a separate experienced Cytopathologist Continuous monitoring of sick patients on dialysis is done throughout the procedure with the help of a highly specialised monitor.

More than 2500 hemodialysis are performed per month (Round the clock dialysis of 4 hours each) including ICU dialysis, y highly trained technical and nursing staff under the guidance of dialysis medical officer and overall supervision of senior consultants.

Cardiothoracic & Vascular Surgery at Indraprastha Apollo Hospitals Delhi, India

Founded in 1996 (January), and recognized as one of the major cardiothoracic surgery units of North India, this division has contributed over 20,000 cardiac surgeries encompassing the entire spectrum of surgical treatment of heart diseases, be it coronary artery bypass, intracardiac repairs of congenital heart defects, valvular heart disease or aortic aneurysm repairs.

What sets this department apart is the excellent post-operative intensive care which turns out world class success rates. The overall success rate of the surgeries performed so far is over 98% which includes emergency procedures, complex repairs of congenital defects and complicated aneurysm repairs, in addition to large number of coronary artery bypass, valve replacements and simpler congenital defects.

Services

Cardiac Surgery Consultants and Cardiac Anaesthesia Consultant are available round the clock. Three fully functional operating suites equipped with L. F. airconditioning shadowless operating lights, electronic cardiac tables, heart lung machines and accessories, infusion pumps, multichannel monitors, defibrillators and advanced micro vascular instruments; guarantee the best cardiac surgical treatment to the patient at par with international standards. The division extends its services to significant number of international patients. A substantial number of patients from Iraq, Afghanistan, Pakistan, Bangladesh, Nepal, Ethiopia, Nigeria and Sri Lanka have availed of our services in addition to a few from USA, UK and Europe. A 23 bed dedicated and fully equipped intensive care (adjacent to the operating units) provides 1:1 nursing care by specially trained nurse’s day & night. While the Intensive care is being actually attended by Registrars and residents, what sets Apollo CTVS ICU apart from other is the supervisory vigil kept by the dedicated team of anesthesiologists.

Spectrum of Services Offered

 

A. Coronary Artery Bypass Graft Surgery: The department was one of the pioneers of beating heart surgeries in 1999 and since 2000; this method continues to be the procedure of choice of surgical revascularisation of coronary artery disease.

Even though, this procedure does not require cardiopulmonary bypass, all the three operating suites are equipped with heart lung machine and Intra-aortic balloon pumps. The homolougus blood transfusions are minimal and can be avoided totally in large number of cases when cell saver is used.

In addition to primary CABGs, the centre is known for its proficiency in REDO CABG and combined procedures like AVR + CABG, MVR + CABG and carotid endarectomy. The internal mammary arteries (Left/Right/Bilateral) are the most preferred conduits for CABG except Bilateral IMA is avoided in insulin dependent in diabetics.

The radial artery is the next best conduit. Aorto coronary by-pass is the usual mode of surgical revescularisation, but LIMA – RIMA Y graft is often used in younger patients for Total Arterial Revascularisation.

Acute and urgent surgical intervention maybe required to treat acute coronary syndrome complicated by left main stenosis, Post infarction VSD, Impending Cardiac Rupture or Acute Mitral Regurgitation and the unit gears up 24/7 to envisage these lifesaving operations with good outcomes.

Valuable adjuncts like a large number of ventilators and Intracardiac balloon pumps help in salvaging these very sick patients. Redo CABG are readily accepted and large numbers have been carried out with 95% success.

B. Valve Surgery: All valve surgeries are undertaken with confidence and both repairs and replacements are done with good outcomes. Both Prosthetic (metallic) valve substitutes and Bio-prosthetic (tissue) valve substitutes are available. The surgeons are fairly experienced in carrying out valves repairs whenever possible and endeavor to preserve the subvalvar apparatus during mitral valve replacements. Intra –operative Transesophagial echocardiography is available whenever needed. 

C. Aneurysm Surgery: Aortic aneurysms are handled with confidence. Elective and Emergency surgeries are undertaken to take care of aortic dissections day or night. A number of aortic root replacements (Bentall operations) have been done with 90-95% success. 

D. Congenital Heart Defects: The entire gamut of congenital heart defects are accepted for repairs. Neonatal arterial switch operations for Transposition are done regularly. Other intra cardiac palliative and corrective surgeries are offered for complex congenital defects. Epicardial chocardiography is available for assessing efficiency of procedures carried out. 

E. Thoracic Surgery: All thoracic surgical procedures like lung resections decortications, volume reduction surgery are undertaken by dedicated team of Thoracic Surgeons. VATS (Video Assisted Thoracoscopic Surgery) is also available. 

F. Vascular Surgery: Peripheral vascular disease, abdominal aortic aneurysm and carotid artery disease are appropriately handled by dedicated surgeons when indicated.

Patient Endoscopy in Indraprastha Apollo Hospitals Delhi, India

Endoscopy is routinely performed at the Centers for Medical and Surgical Gastroenterology, Apollo Hospitals, India for the following conditions:

For patients who suffer from gastrointestinal bleeding, both Banding / injection of esophageal varices and control of bleeding with adrenaline injection / argon plasma coagulation are routinely performed.

·         For patients with swallowing difficulty due to esophageal stricture or achalasia, endoscopic dilatation can be carried out under fluoroscopic guidance. Similarly dilatation of pyloric and colonic strictures can also be carried out. In patients with Esophageal tumours, metallic stent placement is done, after dilatation.

·         For patients for whom feeding is a problem either due to neurological disorders or altered consciousness levels, endoscopic placement of nasojejunaltube or PEG (Percutaneous Endoscopic Gastrostomy) tube is done.

·         Endoscopic removal of gastric / colonic polyps is routinely done.

·         For patients with obstructive jaundice, ERCP / papillatomy / stone extraction from CBD/biliary stenting (plastic as well as metal stents) can be performed.

·         Placement of pancreatic stents in patients with severe pain due to chronic calcific pancreatitis is done.

·         Esophageal manometry, pH studies and rectal manometry, which are available in only limited centres, are done routinely and help not only in diagnosis, but also in deciding which patients with gastroesophageal reflux or achalasia are likely to require surgery.

Other routine procedures like liver biopsy, aspiration of liver abscess and diagnostic and therapeutic paracentesis are done through endoscopy.

Indraprastha Apollo Hospitals Delhi, India

Indraprastha Apollo Hospitals, New Delhi is a multi-specialty tertiary acute care hospital with 710 beds and one of the most sought after destinations in Asia for healthcare. A state-of-the art modern facility in the heart of the capital, it is spread over 15 acres and has a built-up area of over 600,000 square feet.

Indraprastha Apollo Hospitals has 52 specialties under one roof with the major specialities being anaesthesia, cardiology, cardiac surgery, cancer, paediatrics, critical care, emergency care, fetal medicine, gastroenterology and hepatology, obstetrics & gynaecology, interventional radiology, IVF, liver and kidney transplant, nuclear medicine, nephrology, neurosciences, ophthalmology, orthopaedics, otolaryngology (ENT), paediatrics, pediatric surgery, psychiatry and clinical psychology, plastic & reconstructive surgery, respiratory & sleep medicine, rheumatology, spine surgery, urology and andrology and vascular and endovascular surgery

Indraprastha Apollo Hospitals, New Delhi is a flagship hospital of the Apollo Hospitals Group that epitomises the clinical excellence that the Apollo Group stands for. Clinical excellence aims at the best clinical outcomes for patients. Achieving the best clinical outcomes for the most complex diseases requires the best staff supported by latest technology and standardized processes..

We engage the best consultants through a rigorous credentialing and privileging process who are supported by the best healthcare staff. Regular training programs, conferences and continuing medical education programs are undertaken to keep the staff abreast with the latest developments in their fields.

It has the latest and Best-in-Class medical technologies like PET- MR, PET-CT, Da Vinci Robotic Surgery System, BrainLab Navigation System, Portable CT Scanner, NovalisTx, Tilting MRI, Cobalt based HDR Brachytherapy, DSA Lab, Hyperbaric Chamber, Fibroscan, Endosonography, 3 Tesla MRI, 128 Slice CT scanner to provide world-class care

That Indraprastha Apollo Hospitals became the first hospital in India to be JCI accredited in 2005 stands testimony to our standardized processes. We also became the first hospital to be reaccredited in 2008 and 2011. It has NABL accredited clinical laboratories and a state of the art blood bank.

Few of the Salient features are:

52 Specialties under one roof
• First Hospital in India to perform a Paediatric Liver Transplant in 1998 and one of the busiest Liver Kidney transplant program in the country,
• Maximum number of ICU Beds in a Private Hospital in India
• NABL accredited clinical laboratories,
• Experienced and renowned doctors in Cardiac sciences (Cardiology & Cardio-thoracic Surgery) and Neurological sciences (Neurology & Neuro-surgery),
• Largest Sleep Lab in Asia
• One of the largest Dialysis Units in India
• Apollo Cancer Institute is a Comprehensive Cancer care centre with management of cancers as a multi-speciality concerted approach including the most advanced Radiation Oncology Centre with NovalisTx, ClinaciX and HDR-Brachytherapy
• 6 bed dedicated Bone Marrow Transplant Unit with stringent infection control practices
• Latest and Best-in-Class Medical technologies like PET-MR, PET-CT, Da Vinci Robotic Surgery System, BrainLab Navigation System, Portable CT Scanner, NovalisTx, Tilting MRI, Cobalt based HDR Brachytherapy, DSA Lab, Hyperbaric Chamber, Fibroscan, Endosonography, 3 Tesla MRI, 128 Slice CT scanner and many more are used to provide world-class care
In 2014, the hospital got JCI re-accredited consecutively the fourth time making it the first hospital to do so in the Country. Without doubt the hospital has been an industry leader in Healthcare Quality and Patient Safety. Currently has the International Patient Safety Goals implemented and has an in-house developed protocol to optimize patient safety known as CAPS scoring. The hospital also monitors its outcomes and various clinical parameters through ACE@25 (Apollo Clinical Excellence) to stay abreast and above the World’s Best Medical Institutions.

FAQs on Endoscopy

Q- What Is GI Endoscopy?

Ans- GI Endoscopy

Gastrointestinal endoscopy is done when to see the inside of the stomach or intestines.

Gastrointestinal endoscopy involves placing a thin tube-like instrument through the mouth or

the back passage, the rectum, and down into the gullet, or oesophagus, stomach or intestines.

The tube is able to carry pictures back to a video screen or camera. When endoscopy is done 

through the mouth, it is called upper endoscopy or esophagogastroduodenoscopy (EGD for short).

When endoscopy is done through the rectum, it is called lower endoscopy or colonoscopy.

Common reasons for its use and benefits:

• BLEEDING - The most common reason for gastrointestinal endoscopy is to find the
•  source of bleeding from the oesophagus, stomach or intestines. Sometimes, if the source
•  is found, doctors can use the endoscope to stop the bleeding ? TUMOURS - Sometimes
•  tumours can cause discomfort or even clog the oesophagus, stomach or intestines. The
•  endoscope can be used to find tumours and take a small sample for analysis in the lab, 
• called a biopsy.
• DIARRHEA - Sometimes severe diarrhea can be caused by inflammation or infections
•  of the colon and endoscopy can be used to help find the cause ? BELLY PAINS -
•  Sometimes severe stomach pain can be a sign of ulcer, a clog in the gastrointestinal track,
•  inflammation or infection. Endoscopy can help find the reasons for some belly pains.

Risks:

Some of the risks though rare of gastrointestinal endoscopy include:

• A low blood pressure (called hypotension) – Frequently, medicines are given to help 
• keep patients comfortable during endoscopy. Some patients develop brief drops in
• the blood pressure during endoscopy. Such drops can be life-threatening and can 
• be a reason for stopping endoscopy before it is finished.
• oesophagus, stomach or intestines can be damaged by the endoscope and the
• contents can leak into the surrounding area of the body. This is a serious problem
• which can cause infection and even death.
• Bleeding - The oesophagus, stomach or intestines can be damaged by the
• endoscope causing some internal bleeding.

Please Note: The information contained in this leaflet is designed to provide some basic

information regarding surgery. This information is in no way intended to supersede the

recommendations given to you by your medical caregivers. If you have a question about your

medical condition, or if at any time you feel you need the advice or treatment of a physician,

you should seek it immediately.